DR. GAYLENE R. KUDRNA OD
NPI 1063570349
Optometrist in Rapid City, SD

Active since December 05, 2006PECOS Enrolled
2020 JACKSON BLVD, SUITE 1, RAPID CITY, SD 57702(605) 342-0777(605) 342-7282 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gaylene R. Kudrna Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAYLENE R. KUDRNA OD (NPI 1063570349) is an individual optometrist in Rapid City, South Dakota, licensed in South Dakota (520) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1994).

NPPES Registry Identity

NPI1063570349
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. GAYLENE R. KUDRNACredential: OD
Location Address2020 JACKSON BLVD, SUITE 1Rapid City, SD 57702-3484
Mailing Address2020 Jackson Blvd, Suite 1Rapid City, SD 57702-3484 · (605) 342-0777 · Fax (605) 342-7282
Fax(605) 342-7282
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1994
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 2, 2015
NPI 1063570349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in SD · 520
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2020 JACKSON BLVD, Rapid City, SD 57702

Other Identifiers 3

Medicare PIN40366
Medicaid9200363SD
Medicare UPINU51330SD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gaylene R. Kudrna Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921089418
PECOS Enrollment IDI20100325001111
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
201 services201 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
166 services156 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services40 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
38 services21 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
34 services33 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%43 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
49%79 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%70 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2020 JACKSON BLVD
RAPID CITY, SD 57702
Optometrist
2020 JACKSON BLVD, SUITE 1
RAPID CITY, SD 57702
Optometrist
2020 JACKSON BLVD, SUITE 1
RAPID CITY, SD 57702
Optometrist
2020 JACKSON BLVD, SUITE 1
RAPID CITY, SD 57702
Optometrist
2020 JACKSON BLVD
RAPID CITY, SD 57702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaylene Kudrna's NPI number?

The NPI number for Gaylene Kudrna is 1063570349. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Gaylene Kudrna located?

Gaylene Kudrna practices at 2020 Jackson Blvd Suite 1, Rapid City, SD 57702. The listed phone number is (605) 342-0777.

What is Gaylene Kudrna's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gaylene Kudrna enrolled in Medicare?

Yes. Gaylene Kudrna is registered in the Medicare PECOS enrollment system.

What insurance does Gaylene Kudrna accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Medica and 2 other insurers list Gaylene Kudrna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaylene Kudrna was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.